JESSICA CULLEN (NPI# 1467733345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467733345 |
| Entity Type | Individual |
| Full Name | JESSICA CULLEN |
| Credential | PA-C |
| Practice Address |
2790 Clay Edwards Dr Ste 600 Kansas City MO 64116-3274 |
| Mailing Address |
19550 E 39th St S Ste 410 Independence MO 64057-2303 |
| Practice Telephone | 8165613003 |
| Practice Fax Number | 8168891584 |
| Mailing Telephone | 8163032400 |
| Mailing Fax Number | 8163032484 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MO | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2790 Clay Edwards Dr Ste 600, Kansas City, MO 641163274 | 8165613003 | 8168891584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821488073 | Jessica Lee Cullen | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2015-01-27 |
| Street Address |
2790 CLAY EDWARDS DR STE 600 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64116-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043340854 | Jeffrey Aaron Krempec | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2007-03-07 |
| 1780195669 | Kyle B Thomas | Nurse Practitioner | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2017-10-18 |
| 1346769288 | Kathleen Rose Burton | Physician Assistant | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2017-09-12 |
| 1952753022 | Jacob Spexarth | Physician Assistant | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2016-07-12 |
| 1013228261 | Andre Miklos Jakoi | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2010-06-22 |
| 1043416985 | Nathan John Kiewiet | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2007-06-26 |
| 1003036997 | Christopher L Wise | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1568702090 | Jamie Lyn Mertz | Physician Assistant | 9423 N Wayne Ct, Kansas City, MO 64155-2999 | 2013-02-20 |
| 1245586536 | Jeb Medical LLC | Physician Assistant | 1215 Clay St, Kansas City, MO 64116-4026 | 2012-07-24 |
| 1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
| 1740710854 | Laura Swaters | Physician Assistant | 5844 Nw Barry Rd Ste 120, Kansas City, MO 64154-1483 | 2017-06-13 |
| 1417315839 | Marci Cunningham | Physician Assistant | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2016-01-30 |
| 1629493556 | Amy E Newbold | Physician Assistant | 4320 Wornall Rd Ste 50-ii, Kansas City, MO 64111-5941 | 2014-03-01 |
| 1740511138 | Sara Lindsey Clausen | Physician Assistant | 3901 Rainbow Blvd, Kansas City, KS 66103-2937 | 2010-01-25 |
| 1629304761 | Melissa Rene' Caldino | Physician Assistant | 3901 Rainbow Blvd, Ct Surgery Dept, Kansas City, KS 66160-8500 | 2009-10-25 |
| 1609078195 | Margaret Haefele Tuttle | Physician Assistant | 3901 Rainbow Blvd, Mail Stop 3015, Kansas City, KS 66160-8500 | 2007-06-05 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64116 |
Please comment or provide details below to improve the information on JESSICA CULLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.